ICFHS researcher Chris Dietz has led research published in Medical Law review on the utilisation of wearable technology in the National Health Service in the United Kingdom. The paper uncovers how ‘wearables’ including smartwatches and fitness bands are being utilised by public hospitals and examines the legal and regulatory challenges that arise as these devices transition from consumer to health contexts. The researchers consider whether individual consent to data processing is appropriate for a healthcare context by unequal power dynamics between patients, health professionals, and corporate interests. The researchers explore the potential for alternative regulatory models, including open data and data sovereignty, to increase patient trust and confidence in health systems, particularly in respect of priority populations.The paper provides practical guidance to enhance the methodological rigour and policy relevance of real-world data studies. It outlines key considerations for the design, analysis and interpretation of real-world data to ensure findings are robust, transparent and decision-relevant. The authors also highlight the importance of improved data linkage and more integrated digital health systems to reduce fragmentation in care. Strengthening these foundations is essential for generating reliable evidence to inform health system planning, policy development and clinical practice.